Category Archives: Special Section

September 2018

Low Cost Insulin Spray Improves Healing of Diabetic Foot Ulcers

Spraying insulin into an open wound improves the healing of diabetic foot ulcers in diabetic patients—both type 1 and type 2, reported a poster entitled, The Outcomes of Local Flushing of Insulin on Wound Healing in Patients with Diabetic Foot Ulcers. Continue reading

September 2018

Foot Type Determines Effect of Orthotics on Muscle Activity

Adding a lateral bar beneath foot orthoses does not significantly alter activity in the pronator muscles in people with high-arched feet, according to preliminary data from a poster entitled, Effects of Two Types of Foot Orthoses on the Biomechanics of Participants with Cavus Feet During Walking. Continue reading

September 2018

Treating Vascular Malformations Without Surgery

Arteriovenous malformation can be managed non-surgically according to a poster presented by Rothman Institute podiatrists Faith Schick, PDM, and Nicholas Taweel, DPM. DPT. Their case report detailed how they resolved the patient’s symptoms and the case, highlighting the opportunities for non-operative treatment in this condition. Continue reading

September 2018

Office-based Toe Amputations Are Safe and Efficient

As patients seek more affordable care options, moving surgical procedures from the hospital-based operating room to less expensive, more convenient locations is one tactic being explored. But can such procedures be done safely in these outpatient settings? New research from Podiatrists in the Department of Surgery at the Southern Arizona Veteran Affairs Health Care System provides evidence that they can…and that patients like the convenience. Continue reading

September 2018

Negative Pressure Wound Therapy Creates Positive Clinical Outcomes in an Outpatient Setting

A new, disposable negative pressure wound therapy (NPWT) system effectively reduced the volume of varied wound types on four patients in an outpatient setting, reported Windy Cole, podiatrist at University Hospitals Ahuja Medical center, in a poster entitled, Management of Small, Lower Extremity Wounds in the Ambulatory Setting Using a Disposable, Mechanically Powered Negative Pressure Wound Therapy System. Continue reading

August 2018

K-Tape Could Be Helpful in Treatment of Dancers

Nearly 70% of university level ballet and modern dancers report ankle sprains, and 75% have been identified as having chronic ankle instability (CAI). Yet, unlike collegiate football or basketball players, half do not receive medical care for these injuries. Why not? White ankle tape, braces, and boots do not help a dancer improve live performance. Continue reading

August 2018

Resistance Bands, BAPS, or Combo—All Work Well in CAI Rehab

Three 10- to 20-minute sessions per week for 4 weeks of resistance bands, BAPS board, or a combination of the two, worked equally well as rehabilitative treatment for chronic ankle instability (CAI) in high school and adolescent athletes, according to the findings presented in the poster, A Randomized Controlled Trial Investigating the Effects of a 4-Week Ankle Rehabilitation Program on… Continue reading

August 2018

Ankle ROM in CAI

As part of a larger investigation and evolution of rehabilitation paradigms for those with chronic ankle instability (CAI), Cameron J. Powden, PhD, LAT, ATC, assistant professor, Department of Applied Medicine and Rehabilitation at Indiana State University, led a research team with colleagues from the… Continue reading

August 2018

CAI Is Unique to Each Ankle, Treatment Should Be Too

“Balance training isn’t a cookie-cutter treatment that should be used for every patient with CAI,” said Christopher J. Burcal, PhD ATC, co-director of Omaha Sports Medicine Research Laboratory and assistant professor of athletic training at the University of Nebraska at … Continue reading

August 2018

Look at Reactive Balance After Sprain

To better understand how ankle sprains negatively affect balance, Kyung-Min Kim, Ph.D., ATC, assistant professor, University of Miami Department of Kinesiology and Sport Sciences, and South Korean colleagues looked at the effects of acute lateral ankle sprain (ALAS) on reactive balance. Their findings were presented in the poster, Reactive Balance Following Acute Lateral Ankle Sprain.5 Continue reading

July 2018

Current ACL Return-to-Sport Criteria Fails To Identify 2nd Injury Risk

For young, active individuals, returning to sport after an anterior cruciate ligament (ACL) injury and not suffering a second injury is often difficult. Figuring out how to prevent reinjury is even more tricky, says Mark Paterno, PhD, PT, MBA, ATC from the Cincinnati Children’s Hospital Medical Center in Ohio. Continue reading

July 2018

Young Athletes’ ACL Injury Risk Increases with Fatigue

ACL injuries are one of the most common sports injuries affecting adolescent athletes, leading to lost playing time and high healthcare costs. Athletes who experience fatigue – tested on a standardized assessment — demonstrated increased risk of ACL injury, according to this study, which is the first to measure the direct impact of fatigue on injury risk in the adolescent population. Continue reading

July 2018

Results for Female ACL Graft Repair Methods Differ Among Younger Athletes

Female athletes are 2 to 8 times more likely to injure their ACL than males, however utilizing one graft repair treatment method in females may be more beneficial than another, according to new research from Hytham Salem and colleagues from the Rothman Institute in Philadelphia, PA. Their paper, “Anterior Cruciate Ligament Reconstruction in Young Females: Patella… Continue reading

July 2018

Older Patients with Knee Pain Benefit from Allograft Transplant Technique

Knee pain in active patients over 40 is often difficult to treat but utilizing a special kind of allograft may be a step in the right direction, according to research from Katlyn Robinson, BS and colleagues in a paper titled, “Efficacy of Osteochondral Allograft Transplantation in the Knee in Adults Forty Years and Older.” Continue reading

July 2018

Surgery Offers Young Patients Long-Term Benefits after Meniscus Tears

Young patients who underwent surgery for isolated meniscus tears between 1990 and 2005 showed positive long-term clinical results. The study represents one of the largest long-term follow-up cohorts describing clinical outcomes of meniscus repair in pediatric patients to date. Continue reading

June 2018

Gender Matters in Achieving Functional Performance

How many practice trials are needed to achieve functional performance in static and dynamic balance and hopping tests among those with chronic ankle instability (CAI)? That was the question Jordan Read, a student at the University of North Texas Health Science Center, Fort Worth, Texas, and colleagues looked to answer in his poster, Recommended Number of Trials for Balance and Hopping Tests between Male and Female CAI.1 Continue reading

June 2018

The Effects of TT, FRT, and KT on Joint Angles and YBT Performance

Chronic ankle instability (CAI) is a common issue in the athletic population. Although there are many prophylactic taping methods used to prevent repetitive ankle sprains, the effects of these taping methods in dynamic postural control are not clearly understood. Continue reading

June 2018

The Effect of CAI on Landing/Cutting Lower-Extremity Kinematics, EMG, and GRF

In the poster, Altered Movement Neuromechanics during Jump Landing and Cutting in Patients with Chronic Ankle Instability,3 Hyunsoo Kim, assistant professor of the Department of Kinesiology, West Chester University, West Chester, PA, and colleagues looked at altered movement pattern in patients with CAI to examine biomechanical factors for CAI. Continue reading

June 2018

Influence of TT, FRT, and KT on Joint Angles of Lower Extremity

Even though there have been numerous studies regarding prophylactic ankle taping, the way to control the increased mechanical laxity associated with their condition during dynamic activity is not clear. To investigate the effects of traditional tape (TT), fibular repositioning tape (FRT), and kinesiology tape (KT) on joint angles of the lower extremity, Songah Chae, a student in the Department of Movement Sciences at the University of Idaho, Moscow, ID, led a research team on the study, Influence of Prophylactic Ankle Tapes on Lower Extremity Kinematics during Stop-jump in Chronic Ankle Instability.4 Continue reading

June 2018

Identifying CAI Through Specific Movement Patterns

Looking to identify specific movement strategies and describe lower extremity stiffness of the subgroups of patients with CAI compared to an uninjured control group, J. Ty Hopkins, PhD, professor of human performance research center at Brigham Young University, Provo, UT, examined 200 CAI participants (109 male) and 100 controls (54 male). Continue reading

A lower body approach to lumbar pain in pitchers

By Jill R. Dorson What do gators, windmills, and lawnmowers all have in common? All three are nicknames for exercises that incorporate strengthening or stretching of muscles in both the lower back and the lower extremities. And all three are … Continue reading

July 2017

Gaps remain in literature on insoles and back pain

When it comes to the evidence-based use of foot orthoses to manage low back pain, clinicians and researchers point to a need for more comparisons of therapeutic devices and sham devices. Conducting such studies, however, is sometimes easier said than done.

By Larry Hand Continue reading

July 2017

Scoliosis bracing: Potential effects on gait and balance

Idiopathic scoliosis, most common in adolescent girls, is marked by a single or double spinal curve, hip and shoulder asymmetry, and pelvic obliquity (or limb-length discrepancy). These structural issues can be associated with biomechanical issues that include postural instability…

By Barbara Boughton Continue reading

July 2017

A lower body approach to lumbar pain in pitchers

What do gators, windmills, and lawnmowers all have in common? All three are nicknames for exercises that incorporate strengthening or stretching of muscles in both the lower back and the lower extremities. And all three are examples of tools baseball pitchers can…

By Jill R. Dorson Continue reading

June 2017

ANKLE FOOT ORTHOSES: Efforts to optimize outcomes focus on stiffness, alignment

Given the heterogeneity of many patient populations for whom ankle foot orthoses (AFOs) are indicated, it’s not surprising that AFO experts are at the forefront of the current trend favoring customization of devices to meet individual patient needs. Research presented in May at the 2017 International Society of Prosthetics & Orthotics (ISPO) World Congress in Cape Town, South Africa, illustrated some of the many ways AFO stiffness and alignment can be optimized in the interest of patient-centric care. Continue reading